SOFIA IQBAL
Dependent on policy B10M000620
Claims
3
Attributed to this person
Charged
691.00
Total submitted
Denied
75.25
1 denied claims
Patient responsibility
0.00
Reported on the 835
Patient responsibility is the amount reported on the 835 as assigned to the patient — deductible, coinsurance or copay. It is not proof that the provider billed the member, that the member owes it, or that it was collected, and it is kept separate from denied amounts throughout.
Who this is
| Field | Value |
|---|---|
| Name | SOFIA IQBAL |
| Role on the policy | Dependent · relationship 19 |
| Policy | B10M000620 |
| Date of birth | 1 Dec 2005 |
| Plan | SILVER HMO |
| Covered from | 3 Jan 2025 |
| Covered to | 13 May 2025 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0002590 | 26 Apr 2025 | 237.00 | CASCADE CARE | Not denied | — |
| CLM0002589 | 29 Mar 2025 | 144.00 | CASCADE CARE | Not denied | — |
| CLM0002588 | 21 Jan 2025 | 310.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 75.25 |